Open retropubic colposuspension for urinary incontinence in women: A short version cochrane review

Abstract

The evidence available indicates that open retropubic colposuspension is an effective treatment modality for stress urinary incontinence especially in the long term. Within the first year of treatment, the overall continence rate is approximately 85-90%. After 5 years, approximately 70% of patients can expect to be dry. Newer minimal access procedures such as tension free vaginal tape look promising in comparison with open colposuspension but their long-term performance is not known and closer monitoring of their adverse event profile must be carried out. Laparoscopic colposuspension should allow speedier recovery but its relative safety and effectiveness is not known yet.

Longitudinal trends with Improvement in Quality of Life after TVT, TVT O and Burch Colposuspension Procedures

“…Many studies have confirmed its cure rate at 69–88% [3–5]. However, over the past decade this procedure has been largely replaced by the application of various types of TVTs (tension-free vaginal tapes) [6–11].…”

Which type of mid‐urethral sling procedure should be chosen for treatment of stress urinary incontinance with intrinsic sphincter deficiency? Tension‐free vaginal tape or transobturator tape

“…Many different surgical procedures (colposuspension, traditional slings, and injectables) are commonly used, but these procedures are associated with significant morbidity and resource use or low success rates (2, 3). Tension‐free vaginal tape (TVT) is a standard minimally invasive procedure used to treat urinary stress incontinence since 1995 when it was first described by Ulmsten (4).…”

Social and therapeutic challenges of pelvic floor dysfunction

“…Until recently, the surgery of choice for treatment of stress UI was open retropubic colposuspension (Burch operation) with a cure rate of 85%-90% after 1 year and 70% after 5 years [16]; for many gynecologists, Burch colposuspension remains the surgery of choice. However, many believe that tension-free vaginal tape (TVT) is a gold standard for the surgical treatment of stress UI because it is minimally invasive, has a short hospital stay or can be conducted as an officebased procedure, has few complications, and a favorable long-term outcome (a 90% cure rate after 11.5 years) [17,18].…”